Provider Type Icon

NICOLE R. RYAN MD NPI 1972668234


NPI Information

NPI: 1972668234
Provider Name: NICOLE R. RYAN, MD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: BEEBE PHYSICIAN NETWORK INC.

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1717
Get Directions

Nicole R. Ryan, MD is a neurology with special qualifications in child neurology psychiatry neurology in Philadelphia, PA with 20 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Nicole R. Ryan, MD NPI is 1972668234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2004

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - NEUROLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1717
Fax: (215) 590-1771

The NPI 1972668234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 4/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyMT184806PENNSYLVANIANo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyMD429345PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.